OT procedures Flashcards
1
Q
What are the aspects of the OT process?
A
- process is the client-centered delivery of OT services
- includes evaluation and intervention to achieve targeted outcomes
- occurs within scope of OT domain
- facilitated by perspective OT practitioners when engaging in clinical reasoning, analyzing activities and occupations and collaborating with clients
- ongoing interaction between evaluation, intervention and outcomes
+ dynamic interrelatedness among aspects - only OT practitioners focus on use of occupations and activities as primary methods of intervention throughout process
2
Q
What do you need to look at when analyzing occupational performance?
A
- complex and dynamic interaction among client factors, performance skills, performance patterns, and contexts and environments, along with the activity demands of the occupation being performed
3
Q
What are the 4 broad areas of the OT process?
A
- initial contact
- evaluation process
- intervention process
- process of targeting outcomes
4
Q
What needs to included in the occupational profile?
A
- what is the client’s occupational history?
- what are their current concerns relative to engaging in occupation?
- value and beliefs
- barriers and facilitators to occupational engagement- strengths and weaknesses
- occupational patterns
- occupational context
- client- factors
5
Q
What aspects should be considered with regards to occupational performance?
A
- identifying the specific needs in occupational performance within the client’s context
- completing an occupational or activity analysis to identify the demands of occupations and activities on the client
- selecting and using specific assessments to measure the quality of the client’s performance with regard to performance skills and patterns
- selecting and administering assessments to identify and measure more specifically the client’s contexts and impact on occupational performance
6
Q
What are the outcomes of an evaluation?
A
- determining client’s values and priorities for occupational participation
- documenting + interpreting assessment findings
- determining desired outcomes of intervention
- creating goals in collaboration with the client that addresses the desired outcomes
- selecting outcome measures and determining procedures to measure progress toward goals of interventions, which may include repeating assessments used in the evaluation process
7
Q
How do you make an intervention plan?
A
- identify the objective and measurable occupation-based goals and related time frames
- select intervention program
- identify methods for service delivery- types of interventions to be provided, who will provide the interventions, and treatment frames of reference
- consider potential discharge needs and plans
- make recommendations or referrals to other professionals as needed
8
Q
How to implement intervention?
A
- therapeutic use of occupations and activities
- interventions to support occupations
- education
- training
- advocacy
- self-advocacy
- group intervention
- virtual interventions
- monitor the client’s response through ongoing evaluation and re-evaluation
9
Q
what is done during an intervention review?
A
- re-evaluate the plan and how it is implemented relative to achieving outcomes
- modify the plan as needed
- determine the need for continuation or discontinuation of services and for referral to other services
10
Q
What are the characteristics of the outcomes of the OT process?
A
- select outcomes early in the process that are measurable:
+ valid, reliable and appropriately sensitive to change in client’s occupational performance
+ consistent with targeted outcomes
+ congruent with client’s goals
+ able to predict future outcomes - use outcome measures to measure progress and adjust goals and interventions by:
+ comparing progress toward goal achievement to outcomes throughout the intervention process
+ assessing outcome use and results to make decisions about the future direction of intervention
11
Q
What are examples of targeted outcomes?
A
- occupational performance
- prevention
- health and well-being
- quality of life
- participation
- role competence
- occupational justice
12
Q
Describe the OT process
A
- referral/ reason for contact
- information gathering/ initial interview
- assessment/ evaluation
- goal setting/ intervention planning- with client
- intervention
- re-assessment/ review
- outcomes measurement
13
Q
What types of service delivery models are used by OTs
A
- provide services to clients directly in setting like:
+hospital
+clinics
+industry
+schools
+homes
+communities - and indirectly on behalf of clients through consultation
- direct services include interventions with direct contact:
+interventions are compiled through various mechanisms e.g. meetings in person - when providing service to clients indirectly on their behalf, practitioners provide consultations to entities such as teachers
- OT practitioners also provide consultation to community organizations that may/ may not include people with disabilities
- practitioners may also consult with businesses regarding working environment, ergonomic modifications nd compliance with disability act
- advocacy including talking to legislators about improving transport for older adults/ improving services for people with mental/ physical disabilities
-individual client may not be exclusive focus of intervention, priorities of patents, care-givers are also considered
14
Q
What does clinical reasoning enable the practitioner to do?
A
- identify multiple demands, required skills and potential meanings of activities and occupations
- gain deeper understanding of the interrelationship between aspects of the domain that affect performance and support client-centered interventions and outcomes
- use theoretical principles and models, knowledge about the effects of conditions on participation
- ensures accurate selection and applications of evaluations, interventions and client-centered outcome measures
- evidence based practice
15
Q
Give an overview of activity analysis
A
- process practitioners use to understand demands of specific activity places on client
- demands of activity, range of skills involved in its performance and various cultural meanings attached to it
- analyze demands of an activity to understand specific body structures, body functions, performance skills, and performance patterns that are required and to determine generic demands made on client
